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SEMC Federal Credit Union was chartered as a federal credit union in 1970. It was started by a small group of employees of St. Elizabeth Hospital in Covington, Kentucky. These few saw a need for a credit union that would serve the employees of the hospital. In 1978 St. Elizabeth's South Unit was built in Edgewood, Kentucky and the hospital became St. Elizabeth Medical Center. As the South Unit grew, so did the credit union. In 1989 the credit union moved its main office to the South Unit in Edgewood, but maintained a branch office in the Covington hospital.

In 1989, Tri State Health was added to the credit union's field of membership. Over the years, Summit Health Group, St. Elizabeth Grant County, Anesthesiology Associates, Tristate, Transcare, and Commonwealth Orthopaedic Centers were also added.

In June 1999, another location was added at 581 Dudley Road in Edgewood, Kentucky. This is now the main office for SEMC Federal Credit Union. There are also branch offices located at St. Elizabeth Medical Center South in Edgewood and St. Elizabeth Medical Center North in Covington.

SEMC Federal Credit Union has seen tremendous growth over the 35+ years of its existence. Assets have doubled since 1990. Many services have been added. The credit union is now full-service, with checking accounts, online home banking,  and ATM machines at the St. Elizabeth Medical Center South and North locations, the Grant County Medical Center, and at the Main office on
Dudley Road.

Even with the expansion and growth that has been seen, SEMC Federal Credit Union remains faithful to the vision of the few who saw a need in 1970 and acted to give the employees a financial institution where they are not customers, they are members.
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